Organization
STAYWELL ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELA HERRERO (OWNER)
(786) 398-1007
Entity
Organization
Contact information
Practice address
16961 SW 149TH AVE, MIAMI, FL 33187-1755
(305) 251-7794
(305) 251-7794
Mailing address
16961 SW 149TH AVE, MIAMI, FL 33187-1755
(305) 251-7794
(305) 251-7794
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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